Provider Demographics
NPI:1548582885
Name:AMERI-CARE FAMILY PRACTICE
Entity Type:Organization
Organization Name:AMERI-CARE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:336-993-3146
Mailing Address - Street 1:3750 ADMIRAL DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1555
Mailing Address - Country:US
Mailing Address - Phone:336-889-9500
Mailing Address - Fax:336-889-9568
Practice Address - Street 1:3750 ADMIRAL DR
Practice Address - Street 2:SUITE 104
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1555
Practice Address - Country:US
Practice Address - Phone:336-889-9500
Practice Address - Fax:336-889-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1134266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914596Medicaid
NC2279630DMedicare UPIN